CatChat VBS

The Mass Comes Alive

Participants Full Name *

First Name Last Name

Sexe *

Male Female

Birth Date *

Month Day Year

Age *

Grade completed *

Parish *

B.C. Care Card *

Medical Concerns, Allergies ect... *

T-Shirt Size for those who register before August 5 2016

Parent/ Guardian's Full Name *

First Name Last Name

Home Phone Number *

- Area Code Phone Number

Cell Number

- Area Code Phone Number

Work Number

- Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *

Emergency Contact (other then Parent) *

First Name Last Name

Emergency Phone Number *

- Area Code Phone Number

I understand that reasonable precautions will be taken to safeguard the health and well-being of the participants in this VBS and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the VBS Team, or other associated volunteers of the VBS program to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge this Diocese, Parish and/or Organization from all manners of actions, claims which I or the child named above shall or may have for any reason, arising during my child’s attendance of the VBS.

Unless other written instruction is submitted, I also consent to allowing my child’s image to be recorded, either by photograph or video, and used during the VBS week or for future advertisement of Parish VBS programs. Any other use will require your further consent.

Payment *

First Child $50 Subsequent Child $35

Our VBS is held in the lower hall of Sacred Heart Cathedral. It starts Monday August 29th to Friday September 2nd. We begin at 9am promptly and end at noon. Please have your child bring a water bottle and a bag to bring home important information, as well as craft ect. that have been accomplished during that morning.

Thank you for registering your child. Payments can be made through the secretary of Sacred Heart Cathedral via Cash, Cheque, Debit or Credit card during office hours.

Have a great day!!

The VBS Team

CatChat VBS 2016